30-Day FRN (2900-0107)

58868

Federal Register / Vol. 79, No. 189 / Tuesday, September 30, 2014 / Notices

SUPPLEMENTAL INFORMATION:

Title: Application for Automobile or
other Conveyance and Adaptive
Equipment (under 38 U.S.C. 3901–
3904), VA Form 21–4502.
OMB Control Number: 2900–0067.
Type of Review: Revision of a
currently approved collection.
Abstract: Veterans, servicepersons
and their survivors complete VA Form
21–4502 to apply for automobile or
other conveyance allowance, and
reimbursement for the cost and
installation of adaptive equipment. VA
uses the information to determine the
claimant’s eligibility for such benefits.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published on June
12, 2014, at pages 33805 and 33806.
Affected Public: Individuals or
households.
Estimated Annual Burden: 388.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One–time.
Estimated Number of Respondents:
1,552.
Dated: September 25, 2014.
By direction of the Secretary:
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–23259 Filed 9–29–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0075]

Agency Information Collection
(Statement in Support of Claim)
Activity Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), Department of
Veterans Affairs, will submit the
collection of information abstracted
below to the Office of Management and
Budget (OMB) for review and comment.
The PRA submission describes the
nature of the information collection and
its expected cost and burden; it includes
the actual data collection instrument.

tkelley on DSK3SPTVN1PROD with NOTICES

SUMMARY:

VerDate Sep<11>2014

18:09 Sep 29, 2014

Jkt 232001

DATES:

Comments must be submitted on
or before October 30, 2014.

DEPARTMENT OF VETERANS
AFFAIRS

Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0075’’ in any
correspondence.

[OMB Control No. 2900–0107]

ADDRESSES:

FOR FURTHER INFORMATION CONTACT:

Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0075.’’
SUPPLEMENTARY INFORMATION:

Title: Statement in Support of Claim,
VA Form 21–4138.
OMB Control Number: 2900–0075.
Type of Review: Revision of a
currently approved collection.
Abstract: Statements submitted by or
on behalf of a claimant must contain a
certification by the respondent that the
information provided to VA is true and
correct in support of various types of
benefit claims processed by VA. VA
Form 21–4138 is to used collect the
statement in support of such claims.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published on July
17, 2014, at page 41744.
Affected Public: Individuals or
households.
Estimated Annual Burden: 188,000
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
752,000.
Dated: September 25, 2014.
By direction of the Secretary:
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–23260 Filed 9–29–14; 8:45 am]
BILLING CODE 8320–01–P

PO 00000

Frm 00144

Fmt 4703

Sfmt 4703

Agency Information Collection
(Certificate as to Assets) Activities
Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), Department of
Veterans Affairs, will submit the
collection of information abstracted
below to the Office of Management and
Budget (OMB) for review and comment.
The PRA submission describes the
nature of the information collection and
its expected cost and burden; it includes
the actual data collection instrument.
DATES: Comments must be submitted on
or before October 30, 2014.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0107’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0107.’’
SUPPLEMENTARY INFORMATION:
Title: Certificate as to Assets, VA
Form 21P–4709.
OMB Control Number: 2900–0107.
Type of Review: Revision of a
currently approved collection.
Abstract: Fiduciaries are required to
complete VA Form 21P4709 to report
investment in savings, bonds and other
securities that he or she received on
behalf of beneficiaries who are
incompetent or under legal disability.
Estate analysts employed by VA use the
data collected to verify the fiduciaries
accounting of a beneficiary’s estate.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
SUMMARY:

E:\FR\FM\30SEN1.SGM

30SEN1

Federal Register / Vol. 79, No. 189 / Tuesday, September 30, 2014 / Notices
soliciting comments on this collection
of information was published on June
12, 2014, at pages 33804–33805.
Affected Public: Individuals or
households.
Estimated Annual Burden: 863 hours.
Estimated Average Burden per
Respondent: 12 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
4,316.
Dated: September 25, 2014.
By direction of the Secretary:
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–23261 Filed 9–29–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0635]

Agency Information Collection
(Suspension of Monthly Check)
Activity Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), Department of
Veterans Affairs, will submit the
collection of information abstracted
below to the Office of Management and
Budget (OMB) for review and comment.
The PRA submission describes the
nature of the information collection and
its expected cost and burden; it includes
the actual data collection instrument.
DATES: Comments must be submitted on
or before October 30, 2014.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0635’’ in any
correspondence.
tkelley on DSK3SPTVN1PROD with NOTICES

SUMMARY:

FOR FURTHER INFORMATION CONTACT:

Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0635.’’

VerDate Sep<11>2014

18:54 Sep 29, 2014

Jkt 232001

SUPPLEMENTARY INFORMATION:

Title: Suspension of Monthly Check,
VA Form 29–0759.
OMB Control Number: 2900–0635.
Type of Review: Revision of a
currently approved collection.
Abstract: When a beneficiary’s
monthly insurance check is not cash
within one year from the issued date,
the Department of Treasury returns the
funds to VA. VA Form 29–0759 is used
to advise the beneficiary that his or her
monthly insurance checks have been
suspended and to request the
beneficiary to provide a current address
or if desired a banking institution for
direct deposit for monthly checks.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published on July
16, 2014, at page 41630.
Affected Public: Individuals or
households.
Estimated Annual Burden: 200 hours.
Estimated Average Burden Per
Respondent: 10 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
1,200.
Dated: September 25, 2014.
By direction of the Secretary:
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–23265 Filed 9–29–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0618]

Agency Information Collection
(Application by Insured Terminally Ill
Person for Accelerated Benefit (38 CFR
9.14(e)) Activity Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), Department of
Veterans Affairs, will submit the
collection of information abstracted
below to the Office of Management and
Budget (OMB) for review and comment.
The PRA submission describes the
nature of the information collection and

SUMMARY:

PO 00000

Frm 00145

Fmt 4703

Sfmt 4703

58869

its expected cost and burden; it includes
the actual data collection instrument.
DATES: Comments must be submitted on
or before October 30, 2014.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0618’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0618.’’
SUPPLEMENTARY INFORMATION:
Title: Application by Insured
Terminally Ill Person for Accelerated
Benefit (38 CFR 9.14(e).
OMB Control Number: 2900–0618.
Type of Review: Revision of a
currently approved collection.
Abstract: An insured person who is
terminally ill may request a portion of
the face value of his or her
Servicemembers’ Group Life Insurance
(SGLI) or Veterans’ Group Life
Insurance (VGLI) prior to death. If the
insured would like to receive a portion
of the SGLI or VGLI he or she must
submit a Servicemembers’ and Veterans’
Group Life Insurance Accelerated
Benefits Option application. The
application must include a medical
prognosis by a physician stating the life
expectancy of the insured person and a
statement by the insured on the amount
of accelerated benefit he or she choose
to receive. The application is obtainable
by writing to the Office of
Servicemembers’ Group Life Insurance
ABO Claim Processing, 290 West Mt.
Pleasant Avenue, Livingston, NJ 07039,
or calling 1800–419–1473 or
downloading the application via the
internet at www.insurance.va.gov.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published on June
12, 2014, at pages 33811–33812.
Affected Public: Individuals or
households.
Estimated Annual Burden: 40 hours.
Estimated Average Burden per
Respondent: 12 minutes.

E:\FR\FM\30SEN1.SGM

30SEN1